Integrative Care
Thoughtful, evidence-informed support for the whole person.
At Kavanah Psychiatry, care is grounded in evidence-based medicine, with attention to the full context of your life—sleep, stress, relationships, nutrition, and daily rhythms.
“Integrative” here does not mean alternative or fringe care. It means being intentional and discerning about what may support your mental health, while maintaining a strong foundation in clinical rigor and safety.
A Grounded Approach
There is a growing space within mental health that promotes expensive or loosely regulated “integrative” treatments. At Kavanah, the approach is intentionally different:
Recommendations are evidence-informed and clinically appropriate
Nothing is presented as a cure-all
There is no pressure to purchase products or pursue additional services
Care remains centered on your goals, your preferences, and your safety
If something is recommended, it is because it may be helpful—not because it is trendy.
What Integrative Care May Include
For some patients, integrative care may involve:
Sleep optimization and circadian rhythm support
Stress regulation and nervous system strategies
Nutritional and lifestyle considerations
Select supplements as adjunctive support
Attention to hormonal health, including perimenopause, menopause, and hormone-related mood concerns
Supportive discussion of metabolic health and weight-related concerns, including psychiatric medication-related metabolic effects and GLP-1 treatment when clinically appropriate
These approaches are always individualized, optional, and discussed collaboratively as part of your treatment plan. Our goal is never to pursue wellness trends or one-size-fits-all solutions, but to thoughtfully consider the many factors that can influence emotional and physical wellbeing.
GLP-1 Medications & Mental Health
GLP-1 medications are a class of treatments originally developed for diabetes and metabolic health that are now also commonly used to support weight management. For some individuals, metabolic health, inflammation, hormonal changes, sleep, appetite regulation, and psychiatric symptoms can be closely interconnected.
Within our integrative care model, GLP-1 treatment may be thoughtfully considered as one component of a broader, individualized treatment plan when clinically appropriate. This may include addressing weight-related concerns associated with psychiatric medications, supporting overall physical health, and improving quality of life in ways that can meaningfully impact emotional wellbeing and daily functioning.
We believe conversations about weight and metabolic health should be compassionate, evidence-based, and free from shame or stigma.
Hormone Replacement Therapy (HRT) & Mental Health
Hormonal changes can significantly impact mood, anxiety, sleep, cognition, energy, and overall quality of life, particularly during perimenopause and menopause. For some individuals, symptoms that appear psychiatric in nature may also be influenced by underlying hormonal shifts.
Within our integrative care model, hormone replacement therapy (HRT) may be considered as part of a thoughtful, individualized treatment approach when clinically appropriate. Our goal is to understand the full picture — including emotional, physical, hormonal, and lifestyle factors — and how they may interact to affect wellbeing.
We approach conversations about hormones, aging, and women’s health with compassion, collaboration, and evidence-based care, recognizing that these experiences are deeply personal and deserve to be addressed without dismissal or stigma.
If you are interested in exploring hormone-related mental health concerns, metabolic psychiatry, GLP-1 treatment, or integrative approaches to women’s health and wellbeing, we encourage you to schedule with Heather Skomski. Heather is a nurse practitioner dual certified in Adult Primary Care and Psychiatry. She brings advanced training and a thoughtful, whole-person approach to these areas of care, with an emphasis on collaboration, education, and individualized treatment.
Supplement Support
In some cases, supplements can be a helpful addition to care—for example, supporting sleep, anxiety, or mood. When used, they are selected carefully and conservatively.
If you choose to use supplements, I recommend:
Third-party tested products
Reputable manufacturers
Thoughtful, targeted use rather than stacking multiple products
For convenience, I’ve included a few options from a brand I trust and commonly recommend in clinical practice.
Some links on this page are affiliate links, which means I may receive a small commission at no additional cost to you.
A Thoughtful, Minimal Approach
More is not always better. In many cases, a few well-chosen interventions—combined with therapy, medication when appropriate, and lifestyle support—are more effective than complex or excessive regimens.
Collaborative and Individualized
If you’re curious about incorporating supplements or other integrative strategies, we can discuss what makes sense for you. All recommendations are individualized and made with attention to safety, interactions, and your overall treatment plan.
A Final Note
You will never be expected to purchase supplements or pursue additional services as part of your care here. The goal is to support your mental health in a way that is grounded, transparent, and aligned with your values.